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Overcoming Worries To Enable Relief Model

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When a person is placed on hospice, it is generally seen as a comfort measure instead of a curative measure (Villet-Langomarsino 2018). Pain management of the hospice patient is of great importance because it is one of the few things that can be done during the end stage of life when treatment of a disease is no longer desired. Pain is a common symptom in health care and should be one of the easiest to treat due to its popularity, but unfortunately it is not. Since pain is so unique to person, assessment and treatment must be custom tailored to each patient. The problem with pain management is its specificity to each person and disease plus the numerous ways to treat it. Without one specific roadmap of treating …show more content…
Three articles (Cagel, et.al., 2015; Mayahara, Foreman, Wilbur, Paice, & Fogg, 2014; Oliver, et. al., 2013) focused on pain management from the perspective of the family caregiver and gathered their data from them. One of these was a randomized controlled trial where family caregivers were assessed about their specific concerns on pain management and treatment and staff was trained based on the Effective Management of Pain: Overcoming Worries to Enable Relief (EMPOWER) model. The two hospice centers who were trained with EMPOWER used this to improve their treatment of pain and after a set amount of time, the control group was compared to the group that received the intervention. Check-ups were done with the EMPOWER group and compared to the control group and significant amounts of positive outcomes were shown. There was a decrease in patient pain, caregiver barriers in management, and caregivers felt more educated at the conclusion of the trial about effective pain management for their patient. (Cagel, et.al., …show more content…
It focused on if caregivers felt they had barriers, if they adhered to PRN pain management, and the pain levels of patients (Mayahara, Foreman, Wilbur, Paice, & Fogg, 2014). Of all seven studies chosen, this one had the most negative outcomes due to no actual interventions being used. Caregivers stated that they felt there was a medium level of barriers to understanding management (2.1 out of 5) and adhering to it but a majority of the 46 participants said they did not follow the PRN analgesic regimen. Because of this, pain was a moderate level for patients at a 6.8 out of 10. This article was useful in showing the effects of ineffective teaching and management of pain on patients in hospice. This article is similar to the other descriptive family caregiver focused one (Oliver, et. al., 2013) in that both stated that family understanding of pain management and adherence to pain regimens is crucial in decreasing the overall levels of pain in hospice patients. In the second descriptive article (Oliver, et. al., 2013), a majority of participants stated that they understood the patient’s pain, treatment, and care but the article went on to point out that the goal of pain management should always be no pain. This article collected data post-mortem, which was useful in helping future patients, and allowed for reflection of what could be improved in the future of

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